hyperuricemia

Gout

by: Joe Hing kwok Chu

Excess uric acid in the urine.

Signs and symptoms

It usually affects one joint of the body.  The affected joint is  swollen, red, tender and warm. Usually gout affects middle-aged men rather than women. It rarely occurs in premenopausal women. After postmenopausal the number of occurrences in men and women are about the same.  Those who have a family history of gout and those who receive diuretic therapy are more likely to suffer from gout.

Chinese herb therapy

Prescription:

name of formulae: san miao tang ,  bi jie shen shi tang (combined)

Prescription:

cang zhu   10 g, huang bai   10 g, niu xi 15 g, chuan bi xie 15 g, sheng yi yi ren  30 g, chi shao 15 g, dan pi  15 g, ze xie   15 g, hua shi 30 g, tong cao 5 g.

For high fever: add sheng shi gao 30 g, zhi mu 10 g, shui niu jiao 30 g.

For red and swollen joints: add old sang zhi 30 g, ren dong  teng 30 g.

For yellow urine: add shan zhi zi 10 g, che qian cao 30 g, yao mai 15 g.

Make into decoction. One prescription a day. One week is a therapy period. Take it for 3 consecutive weeks.

三妙湯合萆 薢 渗濕湯

三妙湯(醫學正傳)

蒼 朮10克﹐黃 柏10克﹐牛膝15克。

萆薢 渗濕湯 (瘍科心得集)

川萆 薢15克﹐生薏苡仁30克﹐赤芍 15克﹐丹皮15克﹐澤 瀉 15克﹐滑石30克﹐通草5克。

加減﹕

高熱﹕加 生石膏30克﹐知母10克﹐水牛角30克。

關節紅腫嚴重﹕加老桑枝30克﹐忍 冬 藤30 g。

尿黄溲赤﹕加山栀子10 g，車前草30 g，瞿麥15 g